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Research Article| Volume 22, ISSUE 2, P238-251, March 1997

Treatment of unstable distal radius fractures: Methods and comparison of external distraction and ORIF versus external distraction-ORIF neutralization

  • Author Footnotes
    1 From the Department of Orthopaedic Surgery, Hand and Microvascular Center, University of Minnesota Hospital and Clinic, Minneapolis, MN.
    Matthew D. Putnam
    Correspondence
    Reprint requests: Matthew D. Putnam, MD, Department of Orthopaedic Surgery, University of Minnesota Hospital, 420 Delaware Street S.E., Minneapolis, MN 55455.
    Footnotes
    1 From the Department of Orthopaedic Surgery, Hand and Microvascular Center, University of Minnesota Hospital and Clinic, Minneapolis, MN.
    Affiliations
    Minneapolis, MN, USA
    Search for articles by this author
  • Author Footnotes
    1 From the Department of Orthopaedic Surgery, Hand and Microvascular Center, University of Minnesota Hospital and Clinic, Minneapolis, MN.
    Mark D. Fischer
    Footnotes
    1 From the Department of Orthopaedic Surgery, Hand and Microvascular Center, University of Minnesota Hospital and Clinic, Minneapolis, MN.
    Affiliations
    Minneapolis, MN, USA
    Search for articles by this author
  • Author Footnotes
    1 From the Department of Orthopaedic Surgery, Hand and Microvascular Center, University of Minnesota Hospital and Clinic, Minneapolis, MN.
      This paper is only available as a PDF. To read, Please Download here.
      Twenty-six closed unstable distal radius fractures were treated using a combination of internal fixation, external distraction (intraoperative), and, in some cases, up to 4 weeks of postoperative external fixation (neutralization). Introperative stability check determined the need for external neutralization. This combined technique allowed a comprehensive approach to even the most unstable fractore by merging the advantages of internal and external fixation. Up to 4 weeks of external fixation (neutralization) was not associated with the complications of external fixation usually reported.
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